Individual
MS. JORDAN BRANTLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
956 MATHIAS DR, SPRINGDALE, AR 72762-0985
(479) 419-9911
Mailing address
956 MATHIAS DR, SPRINGDALE, AR 72762-0985
(479) 419-9911
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
AR
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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